Graham, Thomas William

Graham, Thomas William is an individual health care provider with primary practice located at 300 68Th St Se , Grand Rapids MI 49548-6927. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Graham, Thomas William can be contacted via phone (616) 455-5000.

Contact Information

Primary practice address
300 68Th St Se Grand Rapids MI 49548-6927
Phone: (616) 455-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 6301010627 Michigan
Behavioral Health & Social Service Providers / Social Worker 104100000X 6801013765 Michigan

Profile Details

NPI number 1295771640
LBN Legal business name Graham, Thomas William
Credentials MA, LLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Nov 8th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295771640 NPPES
Michigan Other P108965270 BC/BS

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